Provider Demographics
NPI:1730175704
Name:NESQUEHONING AMBULANCE CORPS
Entity type:Organization
Organization Name:NESQUEHONING AMBULANCE CORPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-669-6684
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-0207
Mailing Address - Country:US
Mailing Address - Phone:800-473-2278
Mailing Address - Fax:484-664-2017
Practice Address - Street 1:953 E CATAWISSA ST
Practice Address - Street 2:
Practice Address - City:NESQUEHONING
Practice Address - State:PA
Practice Address - Zip Code:18240-1810
Practice Address - Country:US
Practice Address - Phone:570-669-6684
Practice Address - Fax:570-669-6718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041133416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
0883631OtherAETNA USHC BLUE BELL HMO
284275OtherBCBS OF PA BLUE SHIELD
807166OtherFIRST PRIORITY HEALTH
590011184OtherUNITED HC RR MEDICARE
PA0014512760003Medicaid
20037243OtherAMERIHEALTH MERCY HMO DPA
284275OtherBCBS OF PA BLUE SHIELD